SU1261640A1

SU1261640A1 - Method of curing old shoulder-slips

Info

Publication number: SU1261640A1
Application number: SU843726934A
Authority: SU
Inventors: Марат Мажкенович Сулейменов; Серик Аскарович Байжумартов
Original assignee: Карагандинский государственный медицинский институт
Priority date: 1984-04-16
Filing date: 1984-04-16
Publication date: 1986-10-07

Abstract

Изобретение относитс к медицине, а именно к травматологии. Цель изобретени - предотвращение релюксации плеча. Передним дельтоидно-пекторальным доступом к плечевому суставу обнажают место вывихнутой головки плечевой кости. Головку мобилизуют, очищают полость сустава от сращений, вправл ют вывих. Просверливают шилом каналы в головке плечевой кости и суставном отростке лопатки с выходным отверстием на переднюю поверхность. Через эти каналы провод т шнур из ксенотрансплантата . Шнур готов т, скручива листок ксенобрюшины вокруг лавсановой нити . Концы шнура св зывают дополнительно капроновыми швами с отведением плеча на 80&deg;, передней девиацией 30&deg;. Конечность после операции иммобилизуют в таком положении гипсовой пов зкой. Через 3 недели снимают гипсовую пов зку. Приступают к восстановительному лечению. SThe invention relates to medicine, namely to traumatology. The purpose of the invention is to prevent shoulder relaxation. Anterior deltoid-pectoral access to the shoulder joint exposes the site of the dislocated head of the humerus. The head is mobilized, the joint cavity is cleared from adhesions, and dislocation is caused. An awl is drilled into the channels in the head of the humerus and the articular process of the scapula with the exit opening to the front surface. A xenograft cord is passed through these channels. The cord is prepared by twisting a xenobryushin leaf around a polyester filament. The ends of the cord are additionally connected with nylon sutures with a shoulder abduction of 80 °, anterior deviation of 30 °. The limb after the operation is immobilized in this position with a plaster cast. After 3 weeks, remove the plaster cast. Begin to restorative treatment. S

Description

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Claims

This invention relates to medicine, namely to traumatology and orthopedics. The aim of the invention is to prevent the shoulder from relaxing by creating intra-articular fixation through the bony canals in the head of the humerus and the scapula. The method is carried out as follows. Anterior deltoid-pectoral access to the humeral joint exposes the site of the torn capsule and the dislocated head of the humeral bone with the surrounding soft tissues. After mobilization of the head and cleansing of the joint cavity from adhesions, the dislocation is repressed. The channel is drilled with a tongue in the head of the humerus and the articular process of the scapula with an outlet to the front surface. A cord of combined xenograft, which is prepared by twisting a leaf of xenobelvine around a polyester filament, is conducted through these channels. The ends of the pinch are additionally connected with nylon spikes in the shoulder retraction position at 80 °, and the front deviation is 30 °. The limb after the operation is immobilized in this position with a thoracobrachial plaster dressing. After removing the plaster cast, after 3 weeks, they begin rehabilitation treatment. The operation was performed in the clinic in 12 patients. None of the operated on the proposed method was not reluxed. The invention of the method of treating chronic dislocations of the shoulder by reducing the dislocation and creating intra-articular fixation through the bone canals in the head of the humerus and scapula, characterized in that, in order to prevent shoulder reluxation, a pinch xenograft is passed through the canal in the articular process of the scapula.